Individual
JESSICA GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 GARDEN RD APT C, PEABODY, MA 01960-3086
(781) 502-2805
Mailing address
37 GARDEN RD APT C, PEABODY, MA 01960-3086
(781) 502-2805
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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